SECTORS AND SERVICES REPORT - FIQ

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5. SECTORS AND
  SERVICES REPORT
  RFIQ-A21-C-I-D5

               2 nd CONVENTION
               JUNE 7, 9 AND 10, 2021
TABLE OF CONTENTS
                                   INTRODUCTION                                   3

                                   STATUS OF WOMEN SECTOR REPORT                  4

                                   NEGOTIATION SECTOR REPORT                      8

                                   OWPP SECTOR REPORT                            12

                                   LABOUR RELATIONS SECTOR REPORT                15

                                   RESEARCH TEAM REPORT                          18

                                   LEGAL TEAM REPORT                             20

                                   OHS TEAM REPORT                               22

                                   OCCUPATIONAL HEALTH AND SAFETY SECTOR REPORT 25

                                   SOCIAL SECURITY SECTOR REPORT                 28

                                   SOCIOPOLITICAL SECTOR REPORT                  30

                                   COMMUNICATION SERVICE REPORT                  36

                                   EDUCATION-ANIMATION SERVICE REPORT            40

                                   UNION ORGANIZING SERVICE REPORT               43

                                   HUMAN RESOURCES SERVICE REPORT                48

                                   LIST OF EMPLOYEES PER SECTOR AND SERVICE      49

2021 CONVENTION | SECTORS AND SERVICES REPORT                                 PAGE 2
INTRODUCTION
The 2021 Regroupement des FIQ Convention is taking place in an exceptional year in which
there has been no shortage of challenges, to say the least! The Federations had to adapt to
this by being innovative in their practices and being creative. The different sectors and services
responded quickly and decisively to the upheavals caused, especially by the pandemic. They
have worked hard to maintain the level of service and support the Federations and their
affiliated unions in a period that will go down in history. The gains obtained in the sectoral
negotiations have proven that a global pandemic will not stop us!

Beyond this period, all the employees in the 14 sectors and services kept their focus on the
organization’s priorities. They worked relentlessly to fight the attacks on the health network
by the political right and their impact on healthcare professionals. The Federations, through
the contribution of their employees and hard work of their affiliated unions, were able to
consolidate their position as indispensable players in the network and in the labour movement.

The Federations are proud of the work accomplished since the last Convention. Proud to have
stayed the course on the values that drive them. Proud to have defended care as the collective
work of the affiliated unions and their members.

The 2021 Convention, a special setting for reflection and direction, is part of this continuity
where the collective defence of healthcare professionals, the public health network and
greater social justice will be and will remain at the heart of the DNA of our actions.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 3
STATUS OF WOMEN
SECTOR REPORT

Since the founding of the Federation, the status of women has played a key role in the
organization’s decisions. To resemble its composition, which is almost 90% women, the sector
makes contributions and stirs reflections that help the FIQ and FIQP decision-making bodies
evolve and raise awareness among affiliated unions and within the women’s movement, both
provincially and internationally. The concerns that guide the sector’s work include women’s
economic independence, women’s health, and women’s integrity and diversity.

This report covers all of the activities carried out since the 2017 Convention. In general, the two
consultants, backed by their political officer and coordinator, led various large-scale projects,
including the representativity of women at the Federations, organizational violence against
women and family-work-study balance.

Promoting feminism at the FIQ
One of the Status of Women Sector’s mandates from the beginning has been to promote
the feminist analysis in all projects, in particular by using the feminist approach as a through
line. This is how the sector endeavours to integrate the Federation’s concerns into its work, in
addition to collaborating with other sectors and services. For example, at its networks, the
sector raised awareness among union reps about mobilization, raiding and negotiations. It
also set up a collaboration strategy with the appropriate sectors and services, in particular for
provincial negotiations.

Since the 2017 Convention, several bills were tabled by the governments in power. The FIQ
was invited to speak at the parliamentary commission at the time. In collaboration with other
sectors, the Status of Women Sector participated in analyzing these bills in order to draft
briefs. More specifically, the sector worked on Bill 51, an Act mainly to improve the flexibility
of the parental insurance plan, which creates, among other things, an incentive for parents
to share parental leave. The sector also participated in the FIQ’s work team on Bill 59, an Act
to modernize the occupational health and safety regime and specifically proposed that the
government use an intersectional gender-based analysis (GBA+).

Introduction to Feminism workshop
In collaboration with the Education-Animation Service consultants, the sector developed
and gave a basic workshop on feminism. Designed for union reps, this training program aims
to raise awareness around the main principles and issues of feminism. The sector met with
approximately 125 union reps from seven union teams.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                               PAGE 4
Status of Women Committee
It is the sector’s responsibility to coordinate the Status of Women Committee by organizing
and leading meetings. The consultants and members discuss various issues that affect women
locally and abroad. These safe discussion spaces help raise awareness among participants
and help them to grow. In addition, the sector offered support to committee members at the
commemoration of the 30th anniversary of the Polytechnique massacre.

A Project on the Place of Women at the FIQ
Similar to other labour organizations, over the years, there has been a drop in women’s
participation in union life at the Federations. To analyze the situation and find solutions,
we began work on the place of women at the FIQ. Launched before the 2017 Convention,
its purpose was to study, among other things, the steady decrease in women’s presence at
decision-making meetings.

Consultations were held with union reps and the Status of Women Sector continued them
during a tour of the affiliated unions in spring of 2018. In February of the same year, a Women’s
Network was held to discuss women’s involvement in positions of power at the FIQ and
FIQP with union reps. All of these actions helped the sector to develop the Policy on the Fair
Representation of Women in Positions of Power and Decision-Making. The delegation adopted
the policy in June 2018.

The policy aims to reach the benchmark target of 75% of women’s participation at the FIQ
and FIQP’s decision-making meetings. We have seen a decrease in women’s presence
in recent years. At the 1988 Convention, women made up 88% of the delegation, however,
this percentage dropped to 75% at the 2014 Convention, and then again to 75% at the 2017
Convention. To reach the target, the policy included setting up the Policy Implementation and
Monitoring Committee (PIMC).

The PIMC and sector then developed an action plan, which was adopted by the delegation
in 2018. The sector worked closely with the PIMC to implement the action plan’s measures. In
2019, a support measures guide for affiliated unions was adopted. In 2021, the following actions
will be rolled out: Add your voice to debates at decision-making bodies training program,
Introduction to the electoral process training program, and the mentorship pilot project
program. Due to the context of the COVID-19 health crisis, the meeting schedule analysis is
postponed until the next action plan.

Fighting violence against women
One of the issues the sector has been concerned with in recent years is complaint management
within the Federations, including complaints about sexual behaviour. As such, the Status of
Women Sector helped to create a committee with the Union Organizing Service and Legal
Team. This work included reflecting on how to receive victims, as well as best practices, in order
to implement a complaint handling policy at the Federations and affiliated unions.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 5
Moreover, the Status of Women Sector looked further into all types of violence against women.
Unfortunately, these last years have just seen a continuation of ongoing societal problems. In
Quebec alone, since the last convention, several waves of sexual assault accusations have
lit up the Internet ((#moiaussi in 2017 and 2020). The sector was also called to intervene in the
closing of an abortion clinic in Estrie.

Domestic violence also remains a big problem. Many women have been killed as a result. Sadly,
this problem has worsened in 2020 and 2021 with the COVID-19 pandemic and its subsequent
health measures. In collaboration with the Status of Women Committee members, the sector
followed-up on this issue by participating in symposiums and working with different partners
such as the Regroupement des maisons pour femmes victimes de violence conjugale. Since
the 2017 Convention, through Network luncheons, networks and activities for the 12 days of
action to end violence against women, they were able to help inform and raise awareness
among union reps.

Solidarity
Union movement
Through its involvement with the Intersyndicale des femmes, the sector collaborated in drafting
the brief addressing issues women face within the context of Bill 39 on the electoral reform and
Bill 59 on the modernization of the occupational health and safety regime. What’s more, the
sector collaborated on a pay equity campaign and in producing a document on the history of
the World March of Women in Quebec. The Intersyndicale des femmes also gave the IRIS the
mandate to study the impact COVID-19 had on women. The outcome of the analysis will be
released in 2021.

In addition, to make the Minister responsible for the Status of Women aware of the issues
related to negotiations and the precarious status of women, a meeting was set up with the
political officers of the Intersyndicale member unions.

Women’s movement in Quebec
The Status of Women Sector participates in several coalitions and work groups. Thanks to its
involvement with the Intersyndicale des femmes, the FIQ is also a member of Collectif 8 mars.
The sector also collaborates with the Coalition pour la conciliation famille-travail-études. In
2020, this Coalition put together a questionnaire on balance during a pandemic. The sector is
also an active member of the Coordination du Québec pour la Marche mondiale des femmes
(CQMMF). It was supposed to take place in Terrebonne on October 17, 2020 but was postponed
due to the COVID-19 pandemic. The sector is also still part of the movement that defends
women’s reproductive rights through its participation in the Fédération du Québec pour le
planning des naissances (FQPN).

The sector is also active alongside the Sociopolitical Sector, with the Mouvement Démocratie
Nouvelle (MDN). Moreover, since 2019, it has been working with the Coalition pour la réforme
électorale maintenant!, which is made up of several unions and organizations.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 6
International reach
In an effort to share information and hold discussions, the sector participated in the Commission
on the Status of Women organized by UN Women in 2018 and 2019. A commission was scheduled
for 2020 but was also cancelled due to the pandemic. In 2018, the sector also took part in the
World Social Forum in Brazil, which covered many feminist topics.

A FIQ delegation, including the Status of Women Sector, took part in the 12th Public Services
International (PSI) Interamerican Regional Conference in Buenos Aires in June 2019. At the
meeting, the joint political officer for the FIQ’s Status of Women was mandated to sit on the
regional committee and the PSI World Women’s Committee. The issues of violence, workplace
harassment, care, gender and women’s representativity, addressed by the committee, are also
concerns at the FIQ.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 7
NEGOTIATION
SECTOR REPORT

The sector negotiates and concludes a collective agreement for the members with the
government, Comité patronal de négociation de la Santé des Services sociaux (CPNSSS) and
Treasury Board. It proposes a permanent reflection for developing the capacity, anticipation
and reaction of the Federation in order to intervene adequately in defending and promoting
the healthcare professionals’ interests as women and workers. Through its actions and
interventions, the sector exercises and asserts the Federation’s influence by carrying out four
main activities:

l   Negotiating the provincial provisions;

l   Establishing the essential services policy;

l   Activities stemming from the Pay Equity Act;

l   Implementing and following up on the provincial provisions and representations by the FIQ
    with the responsible government bodies in relation to Negotiation Sector files

Negotiating the provincial provisions
Reflection and change
In 2018, a major consultation of the union reps involved in the different negotiation structures,
affiliated unions and FIQ consultants was held to take stock of the last negotiation, draw
conclusions and reflect on the next negotiation. Several changes resulted from this.

A new negotiation structure

Among the changes that came out of this reflection was the need to review the bargaining
structure and adapt it to the multiple reforms in the RSSS, including reducing the number of
union reps on the negotiating committee so they can play a leading role. Adding a level – the
Negotiation Council – was also raised to allow more participation by the affiliated unions in
the negotiations and ensure the professions were represented.

The emergence of an alliance

To be able to negotiate directly with the Treasury Board and have bargaining power, it was
necessary to unite with a labour organization whose similarities with the FIQ and FIQP were
more than its differences. The Negotiation Sector contributed to the alliance of two large
independent labour organizations: the FIQ and APTS. This alliance is important for the 131,000
members that we represent in the health field, who are predominantly women.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 8
A negotiation that adapts to a changing context

The type of negotiations also needed to be reviewed to quickly adapt to the context in which
the FIQ has been moving for several years. Too many unresolved problems and members at
the end of their rope require that concrete solutions be put in place to rebuild the health and
social services network. The strategic framework of the 2020 negotiations aimed to build the
future and get the employer party out of its passivity.

The preparation and tabling of our negotiation drafts
Several consultations with the members, union reps and FIQ consultants took place in preparing
the negotiation draft. There were group discussions, surveys, workshops and meetings, among
others.

The sectoral negotiation draft tabled with the CPNSSS stands out for its two priorities and five
objectives, not for its hundred or so specific demands. This reflects the strategic framework
adopted by the delegation, i.e., a negotiation focused on the offensive and quickness in order
to build solutions that adequately meet members’ needs.

The APTS-FIQ Alliance took shape in a joint and ambitious intersectoral negotiation draft with
the theme of We’re done working ourselves sick!

A negotiation against the backdrop of the pandemic
The pandemic arrived at a time when the FIQ was agreeing with the CPNSSS on the problems
to be solved in the RSSS and where the hope of building concrete joint solutions was on
the horizon. The government, for its part, gave the Treasury Board a free hand to settle the
provincial negotiations as quickly as possible, without major investments, but rather through
recuperation in some respects, a status quo in many cases and anemic salary increases. From
that point on, it would be necessary to adjust quickly and review the negotiation strategy
so that it corresponded to the new reality brought about by the health emergency and its
multitude of ministerial orders. To this end, the strategic framework was reviewed and adopted
in a virtual meeting. From the initial sectoral negotiation draft of two priorities and five
objectives, 22 concrete solutions were proposed at the bargaining table.

COVID sectoral agreement

The Negotiation Sector received the mandate to negotiate measures related to the health
emergency from the COVID-19 pandemic. In short, it was a question of measures needed to
protect the health and safety of our members. On March 30, 2020, the FIQ and CPNSSS agreed
on this and was the first labour organization to achieve this.

The conclusion of a sectoral tentative agreement
After several months of active negotiations, a sectoral tentative agreement was reached on
November 23, 2020. It was rejected by the delegation. A series of consultations followed in order
to return to the bargaining table, where a new and improved sectoral tentative agreement
was finally reached. This one was ratified by the delegation on December 8, 2020. This sectoral
tentative agreement meets the two priorities and five objectives of the sectorial negotiation

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 9
draft tabled in October 2019. The FIQ was the first labour organization to reach a sectoral
tentative agreement.

There was no tentative agreement on the intersectoral matters by the end of 2020. Several
works are in progress internally and with the APTS in order to conclude the negotiations on the
intersectoral component.

Establishing the essential services policy
The legislative amendments that were late going into effect following rulings from the Supreme
Court of Canada and Administrative Labour Tribunal (TAT) forced the Negotiation Sector to
double efforts to present the FIQ and FIQP delegation with an essential services policy. Since
the law no longer mentions the percentages of services to be maintained by mission in an
institution, the FIQ and APTS had to accept the invitation of the CPNSSS to negotiate provincial
parameters in order to submit an essential services policy to their respective delegations.

However, the arrival of the pandemic in spring 2020 interrupted these discussions with the
CPNSSS and forced the APTS-FIQ Alliance to resume the discussions with the employer party
later than planned, on a new basis and this resulted in a deadlock. It was obvious that very
few agreements would be reached at the local level, the CPNSSS having informed employers
to not negotiate essential services on the basis of the FIQ proposal.

Rejected by the TAT, most of the union lists needed to be redone to satisfy its criteria, especially
on the unit of measurement used by the FIQ and to include provisions for maintaining essential
services at 100% in the event of COVID-19 outbreaks. While the resources’ energy should
be allocated to the negotiations, this additional work resulted in assigning the consultants
responsible for coordinating the negotiations to both the essential services file and the
negotiation file.

Activities related to the Pay Equity Act
The main activity related to the Pay Equity Act is without a doubt the pay equity audit every
five years. The current one expired on December 31, 2020. Despite this deadline, the work was
not started as the Treasury Board requested a six-month postponement, granted by the TAT,
considering the large number of pending complaints from previous audits that could affect the
results of this audit.

Despite the postponement of the work, there is no sign from the government to make the FIQ
believe that this work will be done on a parity basis. The findings will undoubtedly need to be
monitored as events may affect the value of jobs, especially for specialty nurse practitioners
and respiratory therapists.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                               PAGE 10
Implementing and following up the provincial
provisions and representations by the FIQ in
relation to negotiation sector files with the
responsible government bodies
Several standing or inter-round committees are set out in the collective agreement and force
the FIQ to conduct perpetual negotiations. The labour relations committee sits continuously,
except for the active period of negotiations. However, this time, the committee was given
the additional responsibility of monitoring the implementation of the agreement on health
emergency measures from the COVID-19 pandemic. Regarding other committees with
mandates of limited duration, some have been held and have produced results, while others
have not achieved the desired results. In this respect, the committees arising from the letter
of understanding on the creation of a provincial inter-union committee for the revision of the
list of job titles, the letter of understanding on specialty nurse practitioners and the letter of
understanding on the creation of a working committee on the adjustment of the maternity
leave allowance have reached satisfactory conclusions. On the other hand, the committees
arising from the letter of understanding regarding the stability of positions, local negotiations
and the rollout of reserved activities stipulated in Bill 90, the letter of understanding regarding
the creation of a provincial inter-union health and safety prevention committee, the letter
of understanding regarding the ranking of the nurse clinician specialist job title, letter of
understanding regarding the creation of a working committee to study the problem related to
trips out all belong in the second category.

Besides the committees, the Negotiation Sector closely followed the progress of two draft bills.
The first one was the Amendments to the Pay Equity Act in 2019 following a Supreme Court of
Canada ruling in May 2018 overturning certain provisions in the Pay Equity Act. The second was
on amendments of the Labour Code regarding maintaining essential services in public services
and in the public and parapublic sectors after a strike was recognized as a right in 2015 by the
highest court in the country and a TAT ruling in the same sense in 2017.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                               PAGE 11
OWPP
SECTOR REPORT

The OWPP Sector has a role in strategic analysis, research and development of organization
of work and professional practice (OWPP). Moreover, it advises the Executive Committee and
supports the labour relations (RLT) consultants. The activities carried out during the period can
be divided into three main areas.

Support for OWPP actions in the institutions
The sector has continued throughout the period to play an advisory role to RLT to answer
general questions on organization of work and support the representation process as part of
the Committees on Care. Information was also sent to the RLT consultants using information
cards and presentations in RLT meetings.

The two accredited training courses on advocacy for the members were overhauled to make
one course, to both introduce the importance of this role to members and raise awareness of
the use of the Safe Staffing Form. A new training course, called Safe ratios: a rallying advocacy
project! was also developed. The latter adopts a committed tone in presenting safe ratios and
their effects, explaining the links between policy or management decisions and their impact on
the quality and safety of care, and inviting members to use their critical professional judgment
with an advocacy approach.

The first OWPP Network with the theme, “Objective ratios: we are taking action!” brought
together more than 200 union reps for a very practical reflection on the links between profes-
sional practice, work overload and care safety. The Network was an opportunity to inform and
equip them on workload complaints, especially within the context of Committees on Care. The
participants were able to develop their talking points on the importance of safe ratios and
practice developing action plans to play their mobilization role in this respect. The Network
also gave the union reps the opportunity to discuss the need to normalize the practice of
reporting in care settings and union practice, and more concretely, to show how Safe Staffing
Forms (SSF) can be used to facilitate reporting and action.

The Safe Staffing Form, launched by the sector in 2016, continues to be used by a significant
number of members (to date, more than 10,000 forms have been completed), supported by
their local teams, which shows that it meets a need for documentation of problems in the
field. The experience with the form resulted in a major update to ensure that it is more closely
aligned with needs and sustainable. A consultation of local teams and analysis led to the
production of a simplified version of the form and, for the local teams, the production of reports
where the data is already compiled, based on their needs.

The OWPP Sector supported the work of several committees on care in the institutions by giving
strategic advice, particularly when data is collected and analyzed and when the resource
person intervenes.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 12
Supporting demands for organization of work that
meet the members’ needs
This second part has taken on a special focus due to environmental events such as the winter
2018 nursing crisis, provincial elections, provincial collective agreement negotiations and the
COVID-19 pandemic.

First, the implementation of the ratios projects made it possible, in collaboration with the
other sectors and services, to produce tools to promote safe ratios such as the “Black Book of
Care Safety”, launched at the end of 2017 and intensively promoted in 2018, and participate
in numerous events and conferences. Moreover, despite the painstaking start of the work on
LU 17, the nursing crisis created a favourable balance of power that was successfully used
to put safe ratios on the Quebec scene and obtain the commitment of the MSSS for 17 ratio
implementation projects, 16 of which have been completed. Carrying out these projects
required a definition of parameters and comprehensive implementation guides negotiated
with the CPNSSS, and a close joint follow-up on each project, with a significant commitment
from the local teams supported by specialized RLT resources. The production and filing of a
final report by the FIQ on the projects concluded the work on LU 17, for which a joint report could
not be produced because of aspects linked to the change in the political context. However,
the publication of the results of the FIQ’s assessment of the ratio projects, through political and
media interventions, has helped to position safe ratios on the Québec scene as a central issue
for healthcare professionals and patients. Furthermore, the experience of the ratio projects
helped lay a solid foundation for demanding a law on ratios in Quebec, which remains the
objective demanded by the FIQ. More recently, the ratios projects were added to the set of
arguments that have been presented to allied professional and civil society organizations in
preparation for the next phase of work towards a law. This will be carried out under the aegis
of the intersectoral ratios committee, with the ongoing collaboration of the OWPP Sector. The
OWPP Sector wants to point out the involvement and colossal work accomplished by the union
reps and RLT consultants in all the ratio implementation projects.

In the wake of the MOT action plan and development of contingency and care offloading
plans endorsed by the DONs in the institutions, interventions were made with professional
orders (OIIQ and OIIAQ) and the Provincial Director of Nursing Care and Services (DNSSI). These
are based on data collection from affiliated unions and analysis in collaboration with the RLT
Sector. They allowed the FIQ to demand more clinical support and commitment in the field
from the directors of nursing, and action will be taken in this regard. The OWPP Sector sup-
ported the Legal Team in its interventions before the TAT in connection with the holding of
MOT-free days.

The Sector continued its monitoring of the PDRH-PMO (Human Resources Development
Planning-Workforce Planning) and participating in meetings with the MSSS, as well as a
monitoring of the nurses, respiratory therapists, clinical perfusionists and licensed practical
nurses initial training files. The OWPP Sector constantly responds to requests from the
Communication Service.

To respect two recommendations from the respiratory therapist and clinical perfusionist
commissions, the OWPP Sector developed two special reports on the professional practice of
respiratory therapists and clinical perfusionists. The goal was to make their profession and the
depth of their practices better known, particularly to other professionals, but also to a greater
public.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 13
From the beginning of the pandemic, the OWPP Sector was involved in the FIQ’s COVID-19
intersectoral committee and assisted the OHS Sector. Moreover, the sector was of course called
upon during the pandemic to equip union reps and support members in this difficult time. For
example, the upheaval we have experienced necessitated the development of a Checklist
on safe professional practice during the COVID-19 pandemic. Via the FIQ website – COVID-19
section and Intranet, the sector monitored, followed up and provided guidance on numerous
changes and new directives (ministerial, public health, professional orders, etc.) concerning
organization of work and professional practice, in particular the terms and conditions for
returning to practice and special authorisations to carry out professional activities. The sector
also worked on drafting the brief submitted as part of the inquiry conducted by the Québec
Ombudsman into the government’s management of the COVID-19 crisis in Québec’s CHSLDs.

In addition, the sector has provided significant support to the provincial negotiations on the
issue of safe ratios, workforce planning and independent labour. This will have given input to
the coordination of the negotiations on current issues in organization of work and professional
practice in the negotiation of our members working conditions. One example of this contribution
is undoubtedly the gain on care hours in CHSLDs, which constitutes a major advance in the
struggle to obtain safe ratios. The OWPP Sector gave advice to help establish and justify the
level of essential services to be provided in the event of a strike with the RLT Sector and Legal
Team.

Monitoring, strategic analysis and intervention on
professional practice issues
Many developments required analysis and intervention in relation to professional practice
issues. Analyses of laws, regulations and other measures affecting professional practice (e.g.,
ministerial and professional order guidelines and directives) made it possible to understand the
repercussions of these measures in the field (such as advanced roles, deprofessionalization,
seniors’ homes, etc.) and to advocate for guidelines adapted to the healthcare profession-
als’ reality. These analyzes, in addition to being forwarded to the Communication Service as
needed, were reflected in participation in various professional events (congresses, symposiums,
etc.), at meetings of professional orders and the DONs at the provincial level as well as at the
Office des professions du Québec, and through various communications sent to these bodies.

The sector analyzed the various OWPP research projects, including those specific to the
context of the pandemic, for which our collaboration was sought, based on the interest that
these studies have in defending and advancing our members’ interests. In addition, it has
played a facilitating role in these studies (recruitment of participants, participation in advisory
committees, etc.).

The work carried out within the framework of Letter of Understanding No. 18, with the participa-
tion of a work group of specialty nurse practitioners (SNP), raised the employer party’s aware-
ness of the specific reality of SNPs, requested the obstacles to autonomous practice in accor-
dance with Canadian standards be removed, and intervened locally to promote advanced
practice. This work also helped with input into participation at the parliamentary commission
on Bill 43, representations with the OIIQ and the Office des professions du Québec, as well as
the advisory role with the labour relations consultants.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 14
LABOUR RELATIONS
SECTOR REPORT

The Labour Relations (RLT) Sector is the largest of the Federation. In fact, two vice-presidents,
45 consultants, 19 secretaries, three coordinators and an administrative assistant are hard
at work every day offering the necessary support to the local teams to increase the FIQ’s
and FIQP’s bargaining power and ensure the defence and respect of the rights of the 76,000
members. This large team is committed day after day to ensuring services are offered in line
with the strategic orientations of the FIQ and the needs of the members and affiliated unions.

Several major files have mobilized the sector since 2017.

Local negotiations
18 labour relations consultants acted as spokesperson in this major exercise in local negotia-
tions forced on us by Bill 10.

Ratios pilot projects
16 consultants were actively involved in the 17 ratios pilot projects launched between April
and December 2018. Of this number, 16 projects were completed and a joint review involving
the consultants involved in each project was submitted to the Ministry of Health and Social
Services in 2019. In addition, two of the labour relations consultants who helped execute each
of the projects were given special assignments related to the ratios projects. They worked
with the Organization of Work and Professional Practice Sector ensuring a provincial follow-up
on all the projects, advising the union representatives participating in the ratios projects and
developing tools to facilitate participation in the projects.

Supporting the negotiations
In addition to offering an advisory service for the various steps in concluding a tentative
agreement (general assemblies, visibility and mobilization activities, etc.), more than 30 labour
relations consultants worked for several months helping to draw up lists of essential services.

Changing our practises
l   The RLT Québec/Montréal meetings held every six weeks were replaced by RLT sector
    meetings held every Friday morning. There is more effective information sharing, consistency
    in positions and a better capacity to react to unforeseen events at these meetings;

l   Implementation of data collection tools to obtain a real-time picture of the situation in all
    institutions and creation of tools to monitor trends;

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 15
l   Establishment of co-development groups that allow consultants to deepen certain aspects
    of their practice;

l   Stabilization of consultant teams around a single institution (CISSS and CIUSSS).

RLT provincial vision
The main mandate of a small team of two RLT consultants with 50% less of their workload and
a coordinator is to define, prioritize, analyze and identify problems and formulate solutions to
sector-specific issues that are provincial in scope or have a significant impact on the function­
ing of the sector. This mandate includes the following objectives:

l   Ensuring consistency and cohesion between the teams of labour relations consultants;

l   Establishing a provincial vision of complex labour relations issues, in line with the mandate;

l   Increasing the Labour Relations Sector bargaining power with the employers.

RLT support committee
Work group composed of political officers, coordinators and union consultants from the RLT
Legal, Research, Negotiation and Labour Relations Teams with the main mandate of:

l   Determining the FIQ labour relations positions on the issues with a major collective or politi-
    cal impact on the application of the collective agreement in effect or following the amend-
    ment of a law affecting the application of the said agreement;

l   Determining the grievances which should have a provincial scope in accordance with clause
    11.19 of the provincial provisions of the collective agreement and ensuring the handling and
    follow-up of these grievances.

Sustained collaboration in fulfilling the mandates
of all the FIQ sectors and services
l   Contribution of RLT consultants to the overhauling or developing of various training sessions
    or modules;

l   Participation of RLT consultants in delivering the training as co-instructors;

l   Participation of RLT consultants on several ad hoc committees (RT, Convention follow-up,
    electronic vote, online grievance, etc.);

l   Participation in planning and carrying out the days without MOT (April and November 2019);

l   Participation on the COVID committee;

2021 CONVENTION | SECTORS AND SERVICES REPORT                                               PAGE 16
l   Participation on the ratios intersectoral committee;

l   Sustained collaboration of RLT consultants with the Info-Mob Committee;

l   Other contributions.

Provincial CRT and COVID CRT
About a dozen provincial CRT meetings were held since the last Convention.

Moreover, while the start of the provincial negotiations was expected to end the discussions
at the CRT, the pandemic has led to the emergence of a similar forum, the COVID CRT for dis-
cussing problems arising from this extraordinary situation. COVID CRT meetings were held from
May 2020 to February 2021.

Implementation of the online grievance
The pandemic has also had an impact on the schedule for implementing the online grievance
with the affiliated unions. The timetable had to be reviewed and the training had to be planned
online instead of holding in-person sessions. All the union teams will be trained and will use the
tool as of June 2021.

As of January 31, 2021:
l   12 teams have already been trained and are using the system;

l   9 teams have a training date planned in the schedule by June 2021;

l   9 teams are waiting for a date but will be integrated by June 2021.

l   For the 12 teams already using the system, this represents the creation of 9,579 current cases
    files, 218 meetings created, 6,878 grievances filed and 7,875 tasks generated.

RLT VP Meetings
Following a decision taken at a council, a RLT VP meeting took place on October 30, 2020. The
latter provided a very constructive moment of discussion and sharing of best practices used
by affiliated unions in the field of labour relations. The experience has been so rewarding that
a new meeting of the same type is planned for March 2021.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 17
RESEARCH TEAM
REPORT

The Research Team union consultants are consulted every day by their colleagues assigned to
the institutions about questions of interpretation for the local and provincial provisions of the
collective agreement, various labour laws or charters of human rights.

They answer these questions by analyzing them from a historical, legal, strategic and political
perspective. Thus, they make recommendations supporting the most appropriate interpre-
tation in achieving the Federation’s objectives in the short, medium and long term. They also
participate in the RLT Sector and Legal Team’s meetings.

The Research Team has worked on several major files:

l   Updating the independent labour (IL) file and following up on TAT decisions after an action
    plan was presented at the Provincial Council. The various measures taken by the unions
    were also presented in that document;

l   Developing a guide of the local matters, including, among other things, a history of the union
    and employer demands, examples of current articles, FIQ positions on the interpretation of
    these articles and the case law on the 26 local matters. This guide served as a reference
    document for the consultants assigned to the local negotiations resulting from the reorgan-
    ization of the institutions into CIUSSS/CISSS;

l   Completing and updating the interpretation guide on the 2016-2020 provincial collective
    agreement. This was a huge undertaking for the Research Team consultants;

l   Updating the guide on the Charter and obligation to accommodate;

l   Participating in organizing the days without MOT and developing the checklist for the
    healthcare professionals;

l   Participating in updating the directives and medical arbitration procedure;

l   Developing training for new FIQ consultants;

l   One member of the Research Team is a member of the provincial RLT committee and ensures
    support of the other members in analyzing and interpretating the collective agreement;

l   Implementing the COVID-19 guide which includes the reference documents produced by
    the COVID committee, ministerial orders and CPNSSS press releases;

l   Analyzing Bill 51 on the improvements to an Act respecting parental insurance.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 18
The team has also worked with the Negotiation Sector:

l   developing training tools necessary for assimilating the provincial provisions of the 2016-
    2020 collective agreement. The members of the Research Team developed a union inter-
    pretation of the new texts in the agreement and proposed orientations to adopt, in relation
    to them;

l   providing them with a list of improvements to the existing provisions in the collective agree-
    ment, in preparation for the 2020 negotiations;

l   analyzing the scope of the collective agreement articles during the negotiations.

Members of the team are part of the RLT support committee which analyzes the interpreta-
tions of the collective agreement and ensures a consistent application in line with the FIQ’s
orientations and values.

Lastly, after the health emergency was declared, the Research Team supported the COVID
Committee. The latter carried out several projects, including:

l   Analyzing the different issues linked to the pandemic;

l   Interpretating the many ministerial orders;

l   Producing reference documents related to the application of the orders and local and pro-
    vincial collective agreements in the context of the pandemic;

l   Holding meetings to train the consultants on the application of the orders;

l   Holding meetings with the local presidents on the application of certain orders;

l   Drafting interpretation sheets in relation to the situations submitted by the consultants;

l   Supporting the COVID RLT Provincial Committee in its meetings with the CPNSSS.

The Research Team also includes three paralegals who prepare summaries of the decisions
rendered involving members of the FIQ before the different courts and distributes them to the
union consultants. The paralegals also support the union consultants on the OHS and Legal
Teams on various levels related to legal research.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 19
LEGAL TEAM
REPORT

The union consultants on the Legal Team represented members in many grievance arbitration
files and before the professional orders’ disciplinary committees, TAT, Superior Court and
Québec Court of Appeal.

In addition to its role of representation, the team is called upon to share its expertise and
advise different sectors of the Federation. For example, the Legal Team consultants worked
with the OWPP and RLT Sectors on work overload files.

Moreover, the team consultants occasionally cooperate with the Sociopolitical Sector in
producing briefs on draft bills affecting the Federation’s activities or members’ rights. During
this period, the Legal Team contributed to the brief on Bill 33 amending the Labour Code
concerning the rules governing essential services and the document on Bill 176 amending the
Act respecting labour standards.

The Legal Team also participates in the Federation inquiry committees on violence in writing
recommendations for the FIQ Executive Committee regarding the application of the Policy for
Fighting Against Violence and Harassment.

In the last four years, the Legal Team has represented the Federation’s unions in 16 complaints
under section 47.2 of the Labour Code. It won most of these cases.

The Legal Team consultants have assisted the members in 285 disciplinary inquiry or complaint
cases.

During the period, two consultants from the Legal Team were assigned to the fight against
private healthcare employment agencies in the public network.

As the Federation is part of an inter-union action with the objective of challenging the
constitutional validity of Bill 160 as well as the local bargaining system imposed by the
government, there are two consultants from the Legal Team responsible for presenting
arguments in this case in Superior Court.

Within the framework of the work related to the provincial negotiations, the Legal Team was
greatly solicited to define the FIQ and FIQP essential services following the passing of the
new Labour Code provisions. The complexity of this exercise was increased by the size of the
network’s institutions and the context of the pandemic. It is also worth noting the first ruling
from the TAT granted a greater right to strike under the new system for determining the essential
services to be maintained in the event of a strike.

The pandemic required the participation of the team’s consultants on several fronts to support
the Federation in its demands. This included participating on the Federation’s COVID-19
committee and obtaining a safeguard order to preserve the privacy of members at the MUHC
in relation to a requirement to record COVID symptoms on a form that was in plain sight. We
should also mention the appeal challenging the constitutionality of Order 2020-007, which
unilaterally modifies the negotiated working conditions of health workers. The Federation is a

2021 CONVENTION | SECTORS AND SERVICES REPORT                                            PAGE 20
forerunner in the contestation of this government tool that is devastating for the rights of FIQ
and FIQP members.

The pandemic has disrupted the representation work of the Legal Team’s consultants,
particularly with regard to hearings, which are currently held by videoconference. Although
this approach requires parties to disclose the evidence that supports their claims in advance, it
brings its own challenges because it diminishes the importance of non-verbal communication
and can contribute to a certain dehumanization of justice.

The Legal Team also supported the organization in its demand to end the employers use
of MOT as a management tool as part of its “days without MOT”. This involvement included
presenting arguments before the TAT that refusing to work MOT is not an illegal pressure tactic.

A few major gains:

l   On the fight against MOT, a grievance arbitrator acknowledged that it may be considered
    abusive and contrary to the Quebec Charter of Human Rights and Freedoms. Moreover,
    damages and interest were obtained in this file for members affected by the employer’s
    decision.

l   In the file on countering independent labour in the health network, note that the TAT
    acknowledged that the latter are included in the FIQ bargaining unit. This file is currently on
    appeal and several other files on this issue are also active.

l   A grievance arbitrator confirmed that to have the nurse clinician job title, a bachelor’s
    degree by accumulation must include only 2 certificates recognized in Appendix 10 of the
    collective agreement and not 3 nursing certificates as claimed by some employers.

l   A grievance arbitrator reiterated that there is a presumption of fitness for work when the
    employee submits a medical certificate for return to work. If the employer wants to verify
    her fitness to return to work, he must act promptly and pay the employee the salary she is
    entitled to while he makes his verifications.

l   Grievance arbitrators in two different files acknowledged that the critical care premium must
    be paid for the care counsellor nurses and liaison nurses.

l   A grievance arbitrator acknowledged that an employee reassigned to a position with fewer
    work hours must continue to be paid for the number of hours set out for her position.

l   A grievance arbitrator confirmed that union leaves must count in the calculation of
    experience for the purpose of echelon advancement.

l   A grievance arbitrator granted the right to overtime when the members’ code of ethics
    justifies working during breaks.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                               PAGE 21
OHS TEAM
REPORT

Regular tasks
In OHS, the team continued to ensure:

l   Representing, informing and supporting members in the various steps in their case with the
    CNESST, and during appeals, rehabilitation and return to work;

l   Intervening with the various experts necessary to ensure adequate representation of
    members;

l   Supporting local representatives in their interventions with the members and employers in
    CNESST files or with the CNESST inspectors.

The OHS Team also found that the substantial increase in files to handle, which the 2017 activity
report mentions, has continued to grow, reaching 1,174 active files on January 16, 2020. Adding
7,600 members to our ranks after the change of allegiance in 2017 partly explains this increase.

The Team has also noticed an increase in the employers’ demands for medical expert opinions,
which have caused an increase in our demands for a second expert opinion to respond
appropriately. Moreover, to limit the costs generated by this situation, the team diversified its
network of experts. This has enabled us to maintain the high level of competence of the experts
we deal with, while continuing our efforts to reduce the costs associated with expertise.

The Team was asked about the CNESST’s position that the FIQ and FIQP affiliated unions are
considered employers when a member is injured while performing union duties. After repeated
interventions directly with the CNESST, the team has initiated a series of appeals to contest this
position and is awaiting a decision from the Administrative Labour Tribunal (TAT) on the matter.

Members of the OHS Team were solicited regarding the draft amendments to an Act respecting
industrial accidents and occupational diseases (AIAOD) and an Act respecting occupational
health and safety (OHS Act). They wrote and presented a brief with 45 recommendations to
the Parliamentary Commission. This was well received by the Minister of Labour who, moreover,
acknowledged the quality of their work. In addition, communications with the representatives
of the different political parties are forthcoming so that the team’s consultants can further
substantiate their analysis and recommendations.

Members of the OHS Team participated in the training given by the FIQ to new local grievance
agents responsible for their members’ CNESST files.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 22
The Team started the rollout of a new offer of service. In fact, every member of the OHS
Team is now assigned to the institutions, to foster ties with the local teams and employer
representatives. Furthermore, the rollout was expedited due to the exceptional situation of the
pandemic to provide support to the local teams in the members’ day-to-day occupational
health and safety issues in the context of a health emergency.

The creation of employer litigation teams, combined with the rollout of the new offer, has allowed
us to build relationships with employer representatives to reach satisfactory settlements for our
members. However, the team notes that these litigation officers are too often overworked,
which means that cases cannot be settled quickly and remain under the responsibility of team
members for longer periods of time, thus increasing the consultants’ workload.

The team also notes that we are witnessing an increase in the complexity of employment injury
cases. There are an increasing number of cases with mixed diagnoses (psychological and
physical), as well as an increase in the number of disputes per case. This situation contributes
to the increase in the workload for the members of the team.

Tasks related to the pandemic
During the first few months of the pandemic, one union consultant from the OHS Team sat on
the FIQ COVID committee. This onerous responsibility required attending many meetings and
acting as an advisor to the consultants to answer their many legal questions, as well as those
that flooded the COVID box.

The COVID-19 pandemic involved the OHS team in various ways: preventive withdrawal of
pregnant and immunocompromised workers, right to the COVID premiums in the event of
CNESST disability, right to refuse, inspection, etc.

To help the labour relations consultants and local teams, the OHS Team designed and
developed several tools, including guides on each of the subjects listed above and a preventive
withdrawal certificate for workers exposed to a contaminant (section 32 OHS Act).

The first lockdown resulted in the postponement of several cases, thus increasing the hearing
time for the union consultants on the team.

With the resumption of TAT activities in June 2020, the consultants had to adapt to the new
reality of virtual hearings.

The COVID-19 pandemic has also increased the number of active files for the OHS Team,
as it has generated its share of individual appeals. These included disputes concerning the
eligibility of claims by workers who had contracted COVID-19, exercising the right to refuse
and requesting preventive withdrawal, as well as complaints related to the payment of COVID
premiums during a CNESST disability.

In addition to these individual actions, numerous special class actions have been pursued by
the OHS Team. In this regard, the team has been a pioneer in the fight for the recognition of
the airborne transmission of the SARS-CoV-2 virus and the role of ventilation in the spread of
the disease.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                             PAGE 23
On April 24, 2020, the FIQ asked the CNESST to immediately send inspectors to all facilities in
the healthcare sector, including CHSLDs and EPCs, in order to exercise all their powers related
to inspection, take the measures required for the fit tests to be performed and make sure that
the workplaces are all equipped with all the personal protective equipment (PPE) required for
the healthcare professionals to work safely, which includes in particular, but is not limited to, the
need to have a sufficient quantity of N95 masks in all Québec facilities. The FIQ and FIQP also
demanded an inspection of the ventilation systems in those facilities.

Judging that the preventive measures put forward in several of the intervention reports issued
by CNESST inspectors were insufficient to ensure the protection of the members, the OHS team
asked that many of them be revised.

Appeals to the TAT, Occupational Health and Safety Division, were filed to demand adequate
protective equipment to preserve the safety of healthcare professionals (including the N95
mask), dedicated areas, and better maintenance of ventilation systems. These appeals have
been filed and are still active before the TAT. Hearings were held in December 2020 and
approximately 15 days of hearings are scheduled in January and February 2021.

The Team also filed an appeal for the nullity of Dr Horacio Arruda’s order of June 8, 2020,
which diminished the protection afforded to healthcare professionals in terms of respiratory
protective equipment. However, on November 5, 2020, the Superior Court ruled that it was for
the specialised court, the TAT, to decide on the validity of this order in the context of the appeals
currently pending before it. As the FIQ and FIQP disagreed with the ruling, they decided to
appeal it and, because of the novelty of the order, to apply for permission to appeal. The Court
of Appeals judge, finding that the issues raised merit the attention of the Court of Appeal,
granted the FIQ and FIQP leave on January 22, 2021 to appeal the Superior Court judge’s
November 5 ruling. This same judge also invited the FIQ and FIQP attorneys to file a motion to
be heard by preference (i.e., within a limited time frame). The battle continues!

2021 CONVENTION | SECTORS AND SERVICES REPORT                                                PAGE 24
OCCUPATIONAL HEALTH AND SAFETY
SECTOR REPORT

With its mandate to invest in the field of prevention, the Occupational Health and Safety
(OHS) Sector has been actively pursuing this objective since the last Convention. Through the
various actions it has carried out at many levels, it has contributed to the promotion of the
Federation’s demands in occupational health and safety, particularly with regard to prevention.

It should be noted that the OHS Sector was propelled to the forefront because of the
coronavirus (COVID-19). Well before the pandemic, the FIQ was in active mode, demanding
changes in prevention and advocating for the implementation of a true prevention culture.
More than ever, the health, safety and integrity, both physical and mental, of healthcare
professionals have become a constant concern. The sector thus proved to be at the heart of
several of the Federation’s interventions throughout 2020.

Raising members’ awareness of the different
issues related to OHS
In collaboration with the Federation’s OHS Committee, the sector, through the themes chosen
for annual OHS Weeks, contributes directly to raising awareness among FIQ members of various
issues related to their health and safety. To this end, mental health at work was addressed in
2018, fatigue at work in 2019 and physical and mental health in the context of a pandemic in
2020.

It should be noted that indirectly, through its political and support interventions with affiliated
unions, local teams and the Federation’s union consultants, the OHS Sector participates on a
regular basis in informing and raising members’ awareness on issues that affect, in one way or
another, their health and safety at work.

For example, the FIQ published an impressive number of information documents on occupational
health and safety linked to COVID-19 in a relatively short period of time.

Supporting, training and informing
local OHS officers
The sector’s main activity in recent years has been to support, train and inform local OHS
officers in occupational health and safety. In fact, a lot of effort was devoted to liaising with
those who are responsible for the prevention file in their institutions.

One example is the Network of OHS Union Representatives, which has become a permanent
annual event and is an excellent opportunity to forge ties with local officers. The objectives
of the Network are to allow OHS officers to exchange on their respective concerns and
experiences, acquire knowledge and tools, and together, find possible solutions to the problems
experienced in the field. The sector is actively involved in holding this event, in collaboration
with the FIQ OHS Committee.

2021 CONVENTION | SECTORS AND SERVICES REPORT                                              PAGE 25
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